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• W271169772 abstract "Pediatric musculoskeletal trauma accounts for most childhood injuries. The anatomy and physiology of the pediatric skeleton is unique as is its response to trauma. The pediatric skeleton has periods of rapid growth; therefore the effect of trauma to the musculoskeletal system may have significant long-term complications. Musculoskeletal trauma is the primary cause of emergency department care for children and adolescents (Perron, Miller, & Brady, 2002). Musculoskeletal injuries are a leading cause of long-term morbidity and disability in pediatric patients, and may lead to loss of limb, permanent neurological dysfunction, premature growth arrest, angular limb deformity, posttraumatic arthritis, joint stiffness, and chronic pain. Pediatric orthopedic trauma management should differ from that of an adult because of the physiological and anatomical differences among populations. Pediatric skeletal characteristics include persistent growth, bone remodeling potential, elastic bone, open growth plates, thick periosteum, and smaller anatomic structures (Musgrave & Mendleson, 2002). Appropriate and timely management of these musculoskeletal injuries, in coordination with the management of life threatening injuries, is vital in minimizing long-term morbidity and dysfunction in pediatric trauma patients. The most important difference between an immature skeleton and a mature adult skeletal system is the presence of a physis. The physis, also known as the growth plate, is the region of long bones involved in Salter-Harris fractures, the physeal injury classification system. Physeal injuries account for 15 to 30% of all skeletal injuries in children, (Greenfield, 1996; Mann & Rajmaira, 1990) occurring most commonly after the age of 10 (Della-Giustina & Della-Giustina, 1999; Greenfield, 1996). Approximately 80% of physeal injuries occur between the ages of 10 and 16 years (Peterson & Peterson, 1972; Rogers, 1970; Musharafieh & Macari, 2000). Physeal injuries are more frequent in boys than girls secondary to an overall increased incidence of musculoskeletal injuries as well as the developmental age of skeletal maturity in boys (Musharafieh & Macari, 2000; Peterson & Peterson, 1972; Rogers, 1970). Injury to the physis may be due to chronic overuse or it may be the result of an acute traumatic event. When injury to the physis is overlooked or mismanaged, growth plate impairment can occur causing a bone growth deficit (Perron et al., 2002). Growth plate problems can lead to improper growth of the limb leading to limb length discrepancies and angular deformities which persist throughout the lifetime. The purpose of this clinical research paper was to present current evidence on pathophysiology, classification, diagnosis, treatment, and prognosis of physeal fractures upon which to base best clinical practice and minimize the potential adverse effects of misdiagnosis or mismanagement of these types of injuries. Methods The clinical research model involved collecting data by searching the internet databases MEDLINE, PUBMed, and MDConsult with the following keywords: adolescent injuries, physeal fractures, epiphyseal fracture, growth plate, orthopedic injuries. Content was analyzed, outcomes were synthesized, and findings were critically applied to current clinical practice in order to promote changes that will foster effective and efficient methods of providing athletic training services (Portney & Watkins, 2000)." @default.
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• W271169772 date "2013-01-01" @default.
• W271169772 modified "2023-09-23" @default.
• W271169772 title "Physeal Growth Plate Fractures: Implications for the Pediatric Athlete" @default.
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